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Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

The Department of Education and Culture of Situbondo Regency is a government agency responsible for providing administrative services to schools within its jurisdiction. However, based on field survey results, the current system still faces significant challenges due to its lack of integration. For instance, the process of collecting physical documents and tracking application status remains inefficient, leading to various obstacles such as service delays, risks of data loss, inconvenience for applicants, and limited transparency and accountability in data management. To address these issues, this study proposes the design of a web-based school administrative service information system. The system development process employs the Structured Systems Analysis and Design Method (SSADM), which emphasizes systematic and structured procedures to ensure functionality and efficiency. The results of this study highlight the importance of adopting information technology within government institutions, particularly the Department of Education and Culture of Situbondo Regency, as a means of supporting administrative activities. The proposed web-based system is expected to streamline administrative processes, improve service delivery, and enhance transparency in managing school-related data. Moreover, by integrating digital solutions into governance, the system can contribute to strengthening the quality of education management and supporting better decision-making processes. Ultimately, the design of this information system demonstrates the potential of technology to transform public sector services and foster accountability in education governance.

Vitamin A Deficiency (VAD) and iron deficiency anemia (IDA) are global nutritional issues affecting children, particularly in developing countries. The interaction between these two conditions can lead to a more complex condition known as Vitamin A Deficiency Anemia (VADA). This study aims to review the molecular relationship between Vitamin A deficiency and iron metabolism leading to VADA, as well as its impact on children's health. The methodology used in this article is a literature review of various clinical studies, epidemiological research, and relevant molecular experiments. The results show that VADA is primarily a functional iron deficiency, where iron absorption is impaired despite overall body iron levels not being critically low. This mechanism involves the regulation of hepcidin, redistribution of iron, and its effects on erythropoiesis. Additionally, therapy with Vitamin A supplementation has been shown to increase erythropoietin and hemoglobin production in children with dual deficiencies. The implications of these findings highlight the need for more integrated therapeutic strategies that consider both Vitamin A and iron status simultaneously. Further research is needed to understand the molecular mechanisms more deeply involved in this interaction and to develop more effective therapies for children with VADA.

The development targets in the Health sector in the 2020–2024 National Medium-Term Development Plan (RPJMN) place one of the main targets for maternal and child health is to reduce the incidence of children under five years old (toddlers) stunting (low height / short) by 30.8% (2018) to 19% in 2024. Optimal Health Status must be prepared since a woman before marriage. Then continued when the woman is pregnant, and while breastfeeding. Childhood is the foundation for growth and development in the next stage, if there are nutritional problems then the consequences that arise are permanent. The risk of stunting by 7x can occur in women 15-49 years who experience anemia and when they become pregnant will be at risk of giving birth to stunted babies. In women of childbearing age aged 15-49 years is the foundation for growth and development in the next stage, if during this period women experience nutritional problems then the consequences that arise can be permanent or irreversible. Its essence is a critical period when a system is plastic and sensitive to its environment, followed by a permanent loss of plasticity and functional capacity (Ummi Kalsum et al., 2021). Before education was provided, most adolescents showed a low level of understanding, namely 31 respondents (56.7%), and awareness of the importance of monitoring nutritional status during adolescence was also minimal. However, after interactive counseling with an easy-to-understand approach, there was a significant increase in knowledge, with 41 respondents (68.3%) showing an increase in understanding, reflected in a change in the knowledge category to a better level. This activity emphasizes the importance of promotive and preventive interventions in areas at high risk of nutritional problems. The implementation of direct and participatory education involving cadres and health workers has proven effective in increasing awareness and forming healthy lifestyle behaviors in adolescents. Therefore, similar education programs need to be implemented continuously to reduce anemia rates to prevent stunting and prevent stunting from adolescence.

This research seeks to develop a web-based tuition payment system to improve the efficiency of financial administration at SMK Techno Media.The Agile development method was employed, with data collected through observation, interviews, literature review, and documentation. Several challenges were identified, such as delays in processing, inaccuracies in payment information, and inefficiencies in financial reporting. The developed system includes functionalities for generating bills, tracking payment status, sending notifications, and producing financial reports. These features are designed to be utilized by six user roles: administrators, teachers, students, parents, finance staff, and the school principal. The implementation results show notable improvements in data accuracy, information transparency, and administrative efficiency. Furthermore, the system supports digital transformation in the school’s financial management processes.

Stunting remains one of the major nutritional problems in Indonesia. According to the 2024 Indonesian Health Survey (SKI), the prevalence of stunting in Papua Province reached 16.8%. A child’s nutritional status is strongly influenced by dietary intake, particularly protein, which plays a crucial role in growth. One potential source of animal protein is Indian mackerel (Rastrelliger kanagurta), a type of fish commonly found in Papua. Indian mackerel is rich in protein and omega-3 fatty acids but is highly perishable, limiting its shelf life. To address this issue, the fish is processed into flour. Additionally, green spinach is used as a source of fiber and minerals, although it is also prone to spoilage. The spinach is processed by extracting its juice, which is then incorporated into noodle products. Dried noodles were chosen as a medium for fortification because they are widely consumed across age groups and often used as a substitute for rice.This study aimed to determine the effect of adding Indian mackerel flour and green spinach extract on the chemical properties and sensory acceptance of dried noodles. The research methods included nutritional content analysis and organoleptic testing. The sensory evaluation was conducted by 25 semi-trained panelists who were nutrition science students

Objective: to evaluate the effectiveness of the Berg Balance Scale (BBS) examination in improving balance and preventing the risk of falls in the elderly. The elderly are an age group that is vulnerable to decreased body function, one of which is balance disorders that can increase the risk of falls. Falls in the elderly can have serious impacts such as injury, decreased quality of life, and even death. Balance examination and evaluation are very important to prevent the risk of falls. One of the effective and widely used measuring tools is the Berg Balance Scale (BBS), which assesses balance ability through 14 functional activity items. This study aims to evaluate the role of BBS in detecting balance disorders and as a basis for physiotherapy interventions to improve postural stability in the elderly. The results of the study indicate that periodic use of BBS can help identify elderly people with high risk of falls and monitor balance progress after intervention. Thus, BBS is an important tool in fall prevention strategies and improving the quality of life of the elderly. Conclusion: the use of the Berg Balance Scale is not only effective in assessing balance status, but also as a tool for monitoring the results of physiotherapy interventions in the elderly. Periodic use of BBS is recommended as part of a fall prevention program in health care facilities or elderly communities.

A good immune system is the key to avoiding viral, bacterial, fungal, and parasitic infections. A person's immune status affects the risk of being infected by various viruses and bacteria, various studies have been conducted to increase the immune system. One of them is through proper and balanced nutritional intake and utilizing functional foods based on local food. The purpose of this activity is to increase public knowledge regarding the role of food in improving the immune system. Method This community service activity is carried out through the provision of education (counseling) with the lecture method. The target is the general public in Paya Dua village in Menasah (surau) with a capacity of 100 people. The material was delivered directly which was divided into lecture sessions and question and answer sessions or sharing. The results of education related to the role of food in improving the immune system provide benefits to the community, impacting the increase in public knowledge about food that can maintain the personal and environmental immunity system. Conclusion The community gained knowledge about foods that contain balanced nutrition and increased public knowledge regarding the role of balanced nutrition in food that affects the improvement of the immune system. It is hoped that through this education and socialization, the community will be able to maintain health by improving the immune system in the family and community.

Stroke is the world's second biggest cause of death after heart attacks. Ischemic stroke is caused by a blockage of blood vessels in the brain, resulting in a lack of oxygenated blood flow and the degeneration and death of brain tissue. This study aimed to determine the relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Tanjung Mulia Medan. This is analytical survey research with cross sectional approach. The population of study was 126 respondents and the sample was determined using SPSS application obtained 56 respondents. The measurement of sleep quality used PSQI questionnaire and functional status using the Barthel index. Data analysis used pre-analysis, univariate and bivariate. The result of chi-square statistical test obtained that the P value was 0.009. Where the value was smaller than the α value of <0.05, then there was a relationship between sleep quality and functional status of post-stroke patients at Mitra Medika Hospital Medan. The results showed that 77.1% of respondents had poor sleep quality. 14.4% of respondents were in the category of moderate dependence functional status. The results of the analysis obtained a p value = 0.000 (<α=0.05) with a degree of relationship of 0.009. The study concluded that there is a significant relationship between sleep quality and functional status in post-stroke patients at Mitra Medika Hospital. It is suggested that the nursing profession increase sleep quality in post-stroke patients in order to accelerate functional status recovery.

This study discusses the symbolic meaning of Lipaq Saqbe as a social identity of the Mandar Tribe. This traditional clothing not only functions as a cultural identity but also has a deep symbolic meaning and reflects the values ​​of the Mandar people. This study uses qualitative descriptive methods and Malinowski's functionalist theory to understand the social and cultural functions of Lipaq Saqbe clothing. The results of the study indicate that the motifs and colors of Lipaq Saqbe have certain meanings related to social status and personal identity. In addition, the use of this traditional clothing in various traditional ceremonies shows its important role in preserving culture. The Mandar Tribe has adapted to the development of the times while maintaining the authenticity of its traditional motifs, making Lipaq Saqbe a symbol of their living cultural heritage. This study is expected to contribute to the understanding of socio-cultural dynamics in Indonesia, especially in West Sulawesi.

This research examines Bogor Palace as an architectural text that represents a fusion of European and tropical styles through a semiotic approach. Bogor Palace is not only a symbol of Dutch colonial power but also reflects the adaptation of Indonesian culture and tropical environment. This research aims to reveal the meanings and symbols contained in the architectural elements of Bogor Palace, such as symmetrical facades, tall pillars, large windows, cross ventilation, and steep roofs. Using semiotic methods, this research analyzes how these elements function as signs that represent aesthetic, historical and ecological values. The results show that the European architectural style of Bogor Palace, reflected through classical structures such as pillars and decorative ornaments, symbolizes the status of power and the influence of colonial culture. On the other hand, tropical elements such as cross ventilation, spacious terraces, and steep roofs represent adaptation to local environmental conditions, while symbolizing harmony between humans and nature. The symbolism in this design not only serves to fulfill functional needs, but also creates a visual narrative that reflects the dialog between foreign and local cultures. The study concludes that Bogor Palace is an artifact rich in semiotic meaning, where each architectural element contains messages about history, culture and ecological adaptation. This research contributes to the study of colonial architecture, particularly in understanding how historic buildings can be interpreted as sign systems that represent cultural and environmental complexities.

This study is motivated by the status of Surah Yusuf as ahsanul qashash, which has special characteristics in terms of balagah, particularly the use of kinayah to convey sensitive narratives in a polite manner. This study aims to identify the classification of types of kinayah and reveal the pragmatic functions behind their use in the text. The research method used is descriptive qualitative with heuristic-semiotic analysis techniques, where the primary data is sourced directly from the verses of the Qur'an. Surah Yusuf predominantly uses kinayah 'an al-maushuf to refer to certain entities or positions in order to maintain the dignity of the narrative, in addition to the use of kinayah shifah and nisbah to describe the emotional turmoil of the characters. Functionally, this style of language plays the role of ihtiraz (preventive), mubalaghah (emphasis of meaning), and ta'dzim (respect). The implications of this study confirm that the use of kinayah is not merely linguistic aesthetics, but a medium of moral education that promotes polite interpersonal communication and is relevant to contemporary Islamic ethics.

Previously, germination was reported in many studies that could improve the nutritional status and bioactive compounds in brown rice. However, the change of those functional properties was randomly different in diverse varieties. This study aimed to evaluate the change in chemical composition and functional properties of germinated brown rice from the Mentikwangi variety, one of the local paddy rice in Indonesia. Brown rice was germinated using the soaked and aeration method for 48 h. After that, the proximate compositions were analyzed including the change of total phenolic compounds and radical scavenging activity. We observed that germination in Mentikwangi brown rice significantly increased the crude protein content, but reduced the lipid and total carbohydrate contents. Moreover, the antioxidant activity was improved in germinated Mentikwangi brown rice sample due to the improvement of total phenolic compounds. These results affirm the previous studies which concluded that germination attenuated the functional properties of brown rice, so that has the potential to be developed as a future functional food.

Balanced nutrition is a daily food composition that contains nutrients in types and quantities that suit the body's needs, taking into account the principles of food diversity, physical activity, clean living behavior and monitoring body weight regularly in order to maintain a normal body weight to prevent nutritional problems. and maintain the immune system in the body. Adolescence is a transition period from childhood to adulthood, where physical, emotional and psychological changes occur. To achieve optimal growth, adequate nutritional intake is needed. A diet with balanced nutrition is one of the main factors in the complex nutritional problems in Indonesia. People need to get clear and adequate information about a diet with balanced nutrition, including eating a variety of foods (eating vegetables and fruit), clean living behavior, physical activity, and regularly weighing yourself as a component of a balanced lifestyle. Basically, nutritional problems in adolescents arise due to incorrect nutritional behavior, namely an imbalance between nutritional consumption and recommended nutritional adequacy. Nutritional condition or nutritional status is a description of what is consumed over a long period of time. The nutritional condition can be in the form of undernutrition, good or normal or overnutrition. Deficiency of one nutrient can cause disease in the form of deficiency disease. If deficiencies within marginal limits cause milder disorders or decreased functional ability.

Stunting is a condition of impaired growth in children under five caused by chronic malnutrition and recurrent infections, which impacts the physical and cognitive development of the child. Ajung Kalisat Village has a relatively high prevalence of stunting, necessitating effective interventions to prevent this condition. This study aims to evaluate the potential of pumpkin pudding as an alternative functional food in the prevention of stunting in children under five in Ajung Kalisat Village. Pumpkin was chosen due to its high nutritional content, such as vitamin A, fiber, and antioxidants, which are beneficial for children's growth and development. The research method involved a trial of giving pumpkin pudding to children under five over a specific period and evaluating its impact on their nutritional status and growth. The results of the study showed that the consumption of pumpkin pudding significantly improved the nutritional status of children under five and has the potential to prevent stunting. Therefore, pumpkin pudding can be considered an effective alternative functional food in efforts to prevent stunting in the community.

Insulin and glucagon, hormones secreted by the pancreas, regulate blood glucose, the main source of energy for cells. Insulin facilitates glucose uptake and glycogen synthesis, whereas glucagon increases blood glucose by stimulating glycogenolysis and gluconeogenesis in the fasting state. An increase in blood glucose above normal over a long period of time can cause diabetes mellitus. The prevalence of type 2 diabetes among the elderly in Indonesia is 6.2%, with a projected increase to 12 million cases by 2030. The causes include genetic factors, aging, unhealthy eating patterns, a lack of movement, and comorbidities such as obesity and hypertension. This activity uses the PDCA (Plan-Do-Check-Action) method, which aims to carry out blood glucose checks as an early detection of type 2 diabetes mellitus. The Hana Nursing Home in South Tangerang hosted this activity, which involved 61 participants. The results of the blood glucose examination showed that 15 people (24.58%) had diabetes and 33 people (54.1%) had pre-diabetes. Early detection and effective management are essential to prevent complications and maintain functional status.

For project management software to be efficient and increase productivity, effectiveness, efficiency, security, and functionality, it must be able to accommodate different user needs. It is important to analyze human-computer interactions when designing software to prevent problems that could harm users. To help IT consultants and client organizations in managing and supervising projects more effectively, this author focuses on developing a “Web-Based Collaborative Project Management Information System for Information Technology Project Management”. IT consultants can share data, manage teams, connect with clients, and manage projects, tasks, and milestones with this solution. Business clients have access to IT specialists, can provide project quotes, and can aggregate project status. The waterfall development technique used includes requirements analysis, design, coding, testing, and maintenance. User research shows this.

Mixed-use building refers to the combination of several different functions in one building, such as residential, office, shopping and recreational functions built on one site. Designing a mixed-use building structure requires careful planning and considers various factors such as functional needs, aesthetics and energy conservation. In addition, the design of mixed use buildings has various different functions in one area. Floor & Dag Plates Using Plain Reinforcing Steel with Quality Fy = 240mpa (Ø8mm). From the design results, several types of plate thicknesses are obtained according to the workloads that must be accommodated on it. the following are the moments acting on the floor & dag plates. reinforcement calculations are carried out using the capacity design method (capacity strength design) in accordance with SNI 2847-2019. The concept of capacity design in question is to control the formation of plastic joints at predetermined locations. The SAP2000 program can directly calculate the feasibility of structural dimensions and the required reinforcement area from the results of the input program process. In the SAP2000 program, the concrete regulations used are concrete regulations in the United States ACI-318-05/IBC 2003 which in some ways differ from concrete regulations in Indonesia SNI 2847-20219. It is necessary to make adjustments to the regulations that apply in Indonesia. The internal force from the SAP2000 program is selected from the loading combination that produces the field moment and the fulcrum moment at the maximum column face plane. The bending reinforcement and shear reinforcement of the beam can be read directly from the output of the SAP2000 program in the form of information on the required reinforcement area.

Physical activity is body movement produced by skeletal muscles that requires energy expenditure to carry out physical activities. When you are elderly, a degenerative process occurs which can put you at risk of disease and injury resulting in a decline in aspects of your health status. The thing that needs to be considered in this condition is the importance of the quality of life of the elderly in an active and effective manner, one of which is physical activity which is related to physical well-being. Based on the results of a survey in the elderly community, namely Pos Lansia Seruni RW 08, Sumber sub-district, it was found that most of the elderly population has low daily activity. The aim of this community service is to promote physical activity in the elderly so that they can improve their functional abilities independently and efficiently and effectively in everyday life. The method used for counseling is promotional and provides media that can be read and taken home in the form of leaflets containing efforts to promote physical activity in the elderly community in the Banyuanyar community health center area, precisely at the Seruni Elderly Post RW 08, Sumber Village, Surakarta City. The results obtained are that the elderly understand and can apply promotional efforts regarding the importance of physical activity.

Community Health Centers are functional organizational units that carry out comprehensive, integrated, equitable health efforts that are acceptable and affordable to the community with the active participation of the community and using the results of the development of appropriate science and technology, at a cost that can be borne by the government and the wider community. in order to achieve optimal health status, without neglecting the quality of service to individuals and the community.